Loading...
HomeMy WebLinkAboutHomestead_Williamson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 - - D.PREPARER ' ""fr7t.--7-- . -t c r .,F - - -t-- a ; T- - 'r Britany Barnes Title Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com City,State,and ZIP Code Telephone Number E-mail• E.SEbI:ER(S)/GRANTOR(5) _---- , . _. _ _ _ Keith Montgomery Carol Montgomery Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance do-nns ent 8 10 S S Von n A Lot? HcnJb 5Tacl f' �e- /0 S. Y 04/1q I q to-c Address(Number and Street) 7 Address(Number and Street)' I I_ 1 �J ( ^/ 6b� / ( Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". If ditc1.'f�tt ett.A t- SignatureofSeller 2 If Signature of Seller Keith Montgomery 9-1 3-)& Carol Montgomery / 7-A3-/ Printed Name of Seller Sion Date(MN/DO/YYII) 17 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPEYJ.G YES NO CONDITION YES NO CONDITION 'h. IS ❑ I.Will this property be the buyer's primary 0 ❑ 3.Homestead lc, \ residence? Provide complete address of primary ❑ M 4.Solar Energy Heating/Cooling Systelp residence,including county: ❑ © R 8885 E 550 S 5.Wind Power Device Address(Number and Street) ❑ 12 6. Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 12 7•Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 (I] 2.Does the buyer have a homestead in Indiana to be 111 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 12 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. 713 S Hall St Not available in all counties.) Address(Number and Street) / Princeton, IN 47670 Gibson 44O 40-/O/6D_ O0/ 3t2 40/ City,State ZIP Code County (p Primary property owner contact name E-mail